The Patient Protection and Affordable Care Act (PPACA) of 2010 (P.L. 118-148) has already changed college students' health care options and has a larger impact on women as they outnumber men in college enrollment and require unique services. Through a feminist policy framework, we discuss how the PPACA impacts college women's health and reproductive rights with a call for higher education to proactively develop policies and standards that focus on the health of women students without limiting access to a range of reproductive health care options.